Colorado Center for Biorefining and Biofuels

C2B2 Fellowship Program Application

Please read the Application Instructions prior to completing this application.

C2B2 Graduate Student Fellowship Program Instructions

APPLICANT INFORMATION

Applicant Name

First Name *

Middle Name

Last Name *

Biographical Information

Date of Birth *

/ /

MM DD YYYY

Country of Citizenship *

Gender

Optional

Ethnicity

Optional

Home Address

Country *

E-mail *

Phone *

ACADEMIC INFORMATION

Undergraduate University Information

University Name *

Country *

Degree Attained *

Field Of Study *

Degree Award Date *

/ /

MM DD YYYY

Cumulative GPA *

Graduate University Information

University Name *

Country *

Graduate Degree Attained *

MS MA PhD Other

Field Of Study *

Degree Award Date (Currently enrolled applicants should list anticipated graduation date) * / /

MM DD YYYY

PhD Dissertation Title (If unknown, please describe research area) *

Advisor Information

Advisor's Name

Advisor's Current University

Advisor's Field of Study

Advisor's E-mail

EMPLOYMENT INFORMATION

Please list related graduate or postdoctoral employment experience in the spaces below.

POSITION 1

University and/or Research Center Name

Department

Position Title

Project Title/Description

Dates Employed (MM/YYYY)

From: - To:

Supervisor's Name

Supervisor's E-mail

POSITION 2

University and/or Research Center Name

Department

Position Title

Project Title/Description

Dates Employed (MM/YYYY)

From: - To:

Supervisor's Name

Supervisor's E-mail

REFERENCES

REFERENCE 1

Reference's Name *

Reference's Employer *

Relationship to Applicant *

Years Known *

Phone *

E-mail *

REFERENCE 2

Reference's Name *

Reference's Employer *

Relationship to Applicant *

Years Known *

Phone *

E-mail *

Additional Application Materials

Applicant Curriculum Vitae

Attach a File *

C2B2 Sponsoring Principal Investigator (PI)

PI Name *

C2B2 Institution *

Department *

E-mail *

C2B2 Sponsoring PI Curriculum Vitae

By uploading this document on behalf of the C2B2 Principal Investigator, I hereby certify that this curriculum vitae has been used with the direct permission of the Sponsoring Principal Investigator. This PI is in support of my application to the C2B2 Fellowship Program.

Attach a File *

Research Proposal/Personal Statement *

I certify that I have read and understaned the C2B2 online application instructions and that my attached proposal/personal statement meets the guidlines set forth in the instructions.

Attach a File *

Letter(s) of Recommendation *

I understand that my letter(s) of recommendation must be e-mailed to C2B2 by the specified application deadline. I understand that C2B2 will not review incomplete application submissions.

SIGNATURE

I hereby certify that all of the preceding information is a truthful and accurate representation of my abilities.

Electronic Signature

Date / /

MM DD YYYY

C2B2 is committed to diversity and equality in education and employment. Any offer of employment is contingent upon the satisfactory completion of a criminal background check.